NSG 3600 Exam 3 Newest 2026-2027 With Complete
Questions And Correct Detailed Answers| Brand New
Version!
The parent of a 5-year-old states that the child has been having diarrhea
for 24 hours, vomited twice 2 hours ago, and now claims to be thirsty.
The parent asks what to offer the child because the child is refusing
Pedialyte. Which is the nurse's most appropriate response?
1. "You can offer clear diet soda such as Sprite and ginger ale."
2. "Pedialyte is really the best thing for your child, who, if thirsty
enough, will eventually drink it."
3. "Pedialyte is really the best thing for your child. Allow your child
some choice in the way to take it by offering small amounts in a spoon,
medicine cup, or syringe."
4. "It really does not matter what your child drinks as long as it is kept
down. Try offering small amounts of fluids in medicine cups."
1. When Pedialyte is not tolerated, it is usually recommended that clear
sodas and juices be diluted. Diet beverages are not recommended
because the sugar is needed to help the sodium be reabsorbed.
1|Page
,2. Pedialyte is the best choice. If the child is not encouraged to drink
Pedialyte, the child may become severely dehydrated. Other ways to
encourage oral rehydration need to be considered.
3. Pedialyte is the first choice, as recommended by the American
Academy of Pediatrics. Offering the child appropriate choices may allow
the child to feel empowered and less likely to refuse the Pedialyte.
Small, frequent amounts are usually better tolerated.
4. Offering small amounts of liquids is important. The type of beverage
does matter because many fluids may increase vomiting and diarrhea.
TEST-TAKING HINT: The test taker should eliminate answer 2 because it
offers an ultimatum to a child. The child is likely to refuse the Pedialyte,
worsening the state of dehydration.
The nurse is caring for a 9-month-old with diarrhea secondary to
rotavirus. The child has not vomited and is mildly dehydrated. Which is
likely to be included in the discharge teaching?
1. Administer loperamide (Imodium) as needed.
2. Administer bismuth subsalicylate (Kaopectate) as needed.
3. Continue breastfeeding per routine.
2|Page
,4. The infant may return to day care 24 hours after antibiotics have
been started.
1. Loperamide (Imodium) slows intestinal motility and allows
overgrowth of organisms and should therefore be avoided.
2. Bismuth subsalicylate (Kaopectate) slows intestinal motility and
allows overgrowth of organisms and should therefore be avoided.
3. Breastfeeding is usually well tolerated and helps prevent death of
intestinal villi and malabsorption.
4. Antibiotics are not effective in viruses. Children should not return to
day care while they are still having diarrhea.
TEST-TAKING HINT: The test taker can eliminate answer 4 because
antibiotics are not effective with viruses such as rotavirus. Answers 1
and 2 can be eliminated because antidiarrheal agents are not
recommended in the pediatric population.
Which child can be discharged without further evaluation?
3|Page
, 1. A 2-year-old who has had 24 hours of watery diarrhea that has
changed to bloody diarrhea in the past 12 hours.
2. A 3-year-old who had a relapse of one diarrhea episode after
restarting a normal diet.
3. A 6-year-old who has been having vomiting and diarrhea for 2 days
and has decreased urine output.
4. A 10-year-old who has just returned from a Scout camping trip and
has had several episodes of diarrhea.
1. Diarrhea containing blood needs further evaluation to determine the
source of the blood, and the child’s blood counts and electrolyte
balance need to be tested.
2. It is common for children to have a relapse of diarrhea after resuming
a regular diet.
3. Children who have had vomiting and diarrhea for more than 2 days
require evaluation to determine whether IV rehydration and hospital
admission are necessary.
4. Diarrhea following a camping trip needs further evaluation because it
may be caused by bacteria or parasites.
4|Page
Questions And Correct Detailed Answers| Brand New
Version!
The parent of a 5-year-old states that the child has been having diarrhea
for 24 hours, vomited twice 2 hours ago, and now claims to be thirsty.
The parent asks what to offer the child because the child is refusing
Pedialyte. Which is the nurse's most appropriate response?
1. "You can offer clear diet soda such as Sprite and ginger ale."
2. "Pedialyte is really the best thing for your child, who, if thirsty
enough, will eventually drink it."
3. "Pedialyte is really the best thing for your child. Allow your child
some choice in the way to take it by offering small amounts in a spoon,
medicine cup, or syringe."
4. "It really does not matter what your child drinks as long as it is kept
down. Try offering small amounts of fluids in medicine cups."
1. When Pedialyte is not tolerated, it is usually recommended that clear
sodas and juices be diluted. Diet beverages are not recommended
because the sugar is needed to help the sodium be reabsorbed.
1|Page
,2. Pedialyte is the best choice. If the child is not encouraged to drink
Pedialyte, the child may become severely dehydrated. Other ways to
encourage oral rehydration need to be considered.
3. Pedialyte is the first choice, as recommended by the American
Academy of Pediatrics. Offering the child appropriate choices may allow
the child to feel empowered and less likely to refuse the Pedialyte.
Small, frequent amounts are usually better tolerated.
4. Offering small amounts of liquids is important. The type of beverage
does matter because many fluids may increase vomiting and diarrhea.
TEST-TAKING HINT: The test taker should eliminate answer 2 because it
offers an ultimatum to a child. The child is likely to refuse the Pedialyte,
worsening the state of dehydration.
The nurse is caring for a 9-month-old with diarrhea secondary to
rotavirus. The child has not vomited and is mildly dehydrated. Which is
likely to be included in the discharge teaching?
1. Administer loperamide (Imodium) as needed.
2. Administer bismuth subsalicylate (Kaopectate) as needed.
3. Continue breastfeeding per routine.
2|Page
,4. The infant may return to day care 24 hours after antibiotics have
been started.
1. Loperamide (Imodium) slows intestinal motility and allows
overgrowth of organisms and should therefore be avoided.
2. Bismuth subsalicylate (Kaopectate) slows intestinal motility and
allows overgrowth of organisms and should therefore be avoided.
3. Breastfeeding is usually well tolerated and helps prevent death of
intestinal villi and malabsorption.
4. Antibiotics are not effective in viruses. Children should not return to
day care while they are still having diarrhea.
TEST-TAKING HINT: The test taker can eliminate answer 4 because
antibiotics are not effective with viruses such as rotavirus. Answers 1
and 2 can be eliminated because antidiarrheal agents are not
recommended in the pediatric population.
Which child can be discharged without further evaluation?
3|Page
, 1. A 2-year-old who has had 24 hours of watery diarrhea that has
changed to bloody diarrhea in the past 12 hours.
2. A 3-year-old who had a relapse of one diarrhea episode after
restarting a normal diet.
3. A 6-year-old who has been having vomiting and diarrhea for 2 days
and has decreased urine output.
4. A 10-year-old who has just returned from a Scout camping trip and
has had several episodes of diarrhea.
1. Diarrhea containing blood needs further evaluation to determine the
source of the blood, and the child’s blood counts and electrolyte
balance need to be tested.
2. It is common for children to have a relapse of diarrhea after resuming
a regular diet.
3. Children who have had vomiting and diarrhea for more than 2 days
require evaluation to determine whether IV rehydration and hospital
admission are necessary.
4. Diarrhea following a camping trip needs further evaluation because it
may be caused by bacteria or parasites.
4|Page
